16D2197983 CLIA NUMBER - KDP MANAGEMENT SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 16D2197983
  • Facility Name: KDP MANAGEMENT SERVICES, LLC
  • Facility Address: 475 S 50TH ST, SUITE 600
    WEST DES MOINES, IA
    ZIP 50265
  • Facility Phone: 515 226-3415
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KARA L. DOBELIS POHREN
  • NPI Number: 1790300648
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 16D2197983
LAB Type Practitioner Other
Facility Name KDP MANAGEMENT SERVICES, LLC
Street 475 S 50TH ST, SUITE 600
City WEST DES MOINES
State IA
ZIP 50265
Phone 515 226-3415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Practitioner Other
Lab Director KARA L. DOBELIS POHREN

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This page was last updated on: 9/29/2025